{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,6,3]],"date-time":"2023-06-03T04:09:10Z","timestamp":1685765350478},"reference-count":32,"publisher":"Springer Publishing Company","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cogn Psychother"],"published-print":{"date-parts":[[2023,5,1]]},"abstract":"<jats:p>We describe the perceptions of mental health clinicians practicing in the United States about the effects of the COVID-19 pandemic on the presentation and treatment course of active clients with anxiety. Clinician participants reported on client symptomology at the beginning of treatment, just before (prior to March 2020), and at a mid-pandemic timepoint (December 2020\/January 2021). An initial sample of 70 clinicians responded to a survey assessing their clients\u2019 overall anxiety severity, anxiety sensitivity, pathological uncertainty, family accommodation, and avoidance levels. Of these, 54 clinician responses were included in study analyses, providing detailed clinical information on 81 clients. Findings suggest that the COVID-19 pandemic was associated with increases in anxiety severity in the majority of clients; overall, clinicians reported that 53% of clients had symptoms worsen due to COVID-19 and that only 16% experienced improvement of symptoms during treatment. Those who had lower levels of avoidance pre-pandemic and those who increased their frequency of treatment were more likely to experience increases in anxiety severity by the mid-pandemic timepoint. Further research is needed to understand the extended effects of the COVID-19 pandemic on anxiety symptomology and treatment.<\/jats:p>","DOI":"10.1891\/jcp-2021-0035","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T16:12:06Z","timestamp":1653322326000},"page":"169-182","source":"Crossref","is-referenced-by-count":0,"title":["Clinician Perspectives on the Impact of COVID-19 on the Treatment of Adults and Youth With Anxiety"],"prefix":"10.1891","volume":"37","author":[{"given":"Emily M.","family":"Dickinson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane W.","family":"Clinger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia W.","family":"Leong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gifty N.","family":"Amos Nwankwo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean M.","family":"Olsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra L.","family":"Cepeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leora","family":"Geralnik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda L.","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew G.","family":"Guzick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie C.","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric A.","family":"Storch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2022,5,16]]},"reference":[{"key":"2023060123251345000_37.2.169.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2020.10227"},{"issue":"4","key":"2023060123251345000_37.2.169.2","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1093\/pubmed\/fdaa106","article-title":"Increased generalized anxiety, depression and distress during the COVID-19 pandemic: a cross-sectional study in Germany","volume":"42","year":"2020","journal-title":"Journal of Public Health"},{"issue":"3","key":"2023060123251345000_37.2.169.3","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1111\/famp.12579","article-title":"Developing a measure of the impact of COVID-19 social distancing on household conflict and cohesion","volume":"59","year":"2020","journal-title":"Family process"},{"key":"2023060123251345000_37.2.169.4","doi-asserted-by":"crossref","first-page":"102377","DOI":"10.1016\/j.janxdis.2021.102377","article-title":"Longitudinal changes of anxiety and depressive symptoms during the COVID-19 pandemic in Germany: The role of pre-existing anxiety, depressive, and other mental disorders","volume":"79","year":"2021","journal-title":"Journal of Anxiety Disorders"},{"key":"2023060123251345000_37.2.169.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2007.00921.x"},{"key":"2023060123251345000_37.2.169.6","doi-asserted-by":"crossref","first-page":"113069","DOI":"10.1016\/j.psychres.2020.113069","article-title":"COVID-19 Pandemic: Impact on psychiatric care in the United States","volume":"289","year":"2020","journal-title":"Psychiatry Research"},{"issue":"8","key":"2023060123251345000_37.2.169.7","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/S2215-0366(20)30240-6","article-title":"Addressing the public mental health challenge of COVID-19","volume":"7","year":"2020","journal-title":"The Lancet Psychiatry"},{"key":"2023060123251345000_37.2.169.8","doi-asserted-by":"crossref","first-page":"102071","DOI":"10.1016\/j.ajp.2020.102071","article-title":"Impact of COVID-19 pandemic on pre-existing mental health problems","volume":"51","year":"2020","journal-title":"Asian Journal of Psychiatry"},{"issue":"S1","key":"2023060123251345000_37.2.169.9","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1037\/tra0000924","article-title":"Fear of COVID-19 and the mental health consequences in America","volume":"12","year":"2020","journal-title":"Psychological Trauma: Theory, Research, Practice, and Policy"},{"key":"2023060123251345000_37.2.169.10","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1989.01810110048007"},{"key":"2023060123251345000_37.2.169.11","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1989.01810110048007"},{"key":"2023060123251345000_37.2.169.12","doi-asserted-by":"crossref","unstructured":"Guy, W. 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